Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Novant Health Medical Group, LLC

Organization Family Medicine Physician · NPI 1255187928

Novant Health Medical Group, LLC is a Family Medicine Physician in Mooresville, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone: (704) 663-3063
Fax: (704) 663-4873
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255187928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leea Walton — Rcs Manager · (704) 316-6081
Other names Novant Health Family Medicine Liberty Park
NPI enumeratedApril 24, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

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